‘Trying to battle a very slow version of the system that exists outside’: experiences of waiting for healthcare in English prisons

Bellass, Sue ORCID: https://orcid.org/0000-0001-9383-4116, Canvin, Krysia and Sheard, Laura (2024) ‘Trying to battle a very slow version of the system that exists outside’: experiences of waiting for healthcare in English prisons. Health, 28 (5). pp. 736-753. ISSN 1363-4593

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Abstract

Prison has been described as the ultimate form of time-punishment – a place where time is no longer a commodity for individuals to spend, but is ordered by a system which symbolises its power through the control of segments of people’s lives. As such, a prison sentence epitomises the experience of waiting. Yet anticipating release is not the only form of waiting within carceral life; waiting for healthcare in its various forms also shapes people’s temporal experience. Drawing on interviews with 21 people who have lived in prison, this article describes how experiences of waiting for healthcare are mediated by expectation or hope, perceptions of the relationship between behaviour and healthcare access, and the consequences of waiting for care. Constraints on the autonomy of people in prison mean that waiting for healthcare differs in important ways from waiting for healthcare in the community, and can be perceived as an additional form of punishment. The experience of waiting for prison healthcare can affect physical and psychological well-being, and can in itself be understood as a pain of imprisonment.